DR. ELLEN SEGERSTROM O.D.
NPI 1922413608
Optometrist in Columbus, OH

Q: What is Ellen Segerstrom's NPI number?

The NPI number for Ellen Segerstrom is 1922413608. It was assigned to this individual provider in the NPPES registry on June 21, 2014.

Q: What is Ellen Segerstrom's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellen Segerstrom was last updated on November 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 21, 2014PECOS Enrolled

338 W 10TH AVE, COLUMBUS, OH 43210(614) 292-2020 Get Directions Write a Review

NPPES record last updated: November 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Ellen Segerstrom O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLEN SEGERSTROM O.D. (NPI 1922413608) is an individual optometrist in Columbus, Ohio, licensed in Ohio (6272) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922413608

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ELLEN SEGERSTROMCredential: O.D.

Location Address338 W 10TH AVEColumbus, OH 43210-1280

Mailing Address1545 Elmwood Ave Apt DColumbus, OH 43212-2766 · (419) 279-1114

Phone(614) 292-2020

Sole ProprietorYes

Enumeration DateJune 21, 2014

Last NPPES UpdateNovember 22, 2015

✔ NPI 1922413608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OH · 6272

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

338 W 10TH AVE, Columbus, OH 43210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellen Segerstrom O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR MCGANN

Optometrist